AVENUE COUNSELING PLLC NPI 1386513810

NPI Details

AVENUE COUNSELING PLLC is a clinical social worker in Jeffersonton, VA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. AVENUE COUNSELING PLLC NPI is 1386513810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6216 SCOTTSVILLE RD
JEFFERSONTON, VA
ZIP 22724-342
Phone: (540) 219-3247

The provider's authorized official is Dominique Jeroldine Leon Black .
The authorized official title is Owner/clinician and has the following contact phone number (540) 219-3247.

The enumeration date for this NPI number is 11/3/2025 and was last updated on 11/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: